OWNER/CO-OWNER/MANAGING OWNER/CAPTAIN’S
&
SEAFARER/CREW MEMBER/ORDINARY SEAMAN’S
AGREEMENT
This AGREEMENT, dated is between:
Owner:
Managing Owner:
Captain:
Owner/Managing Owner/Captain’s Place of Birth (City & Country):
Owner/Managing Owner/Captain’s Date of Birth:
Owner/Managing Owner/Captain’s Full Physical Address:
Owner/Managing Owner/Captain’s Country of Origin:
Owner/Managing Owner/Captain’s Passport Number:
Owner/Managing Owner/Captain’s Passport Expiration Date:
By signing below the Owner/Managing Owner/Captain acknowledges that the above information
is true and correct.
Owner/Managing Owner/Captain’s Signature: Date:
Co-Owner:
Co-Owner’s Place of Birth (City & Country):
Co-Owner’s Date of Birth:
Co-Owner’s Full Physical Address:
Co-Owner’s Country of Origin:
Co-Owner’s Passport Number:
Co-Owner’s Passport Expiration Date:
By signing below the Co-Owner acknowledges that the above information is true and correct.
Co-Owner Signature: Date:
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AND
Seafarer/Crew Member/Ordinary Seaman’s Printed Name:
Seafarer/Crew Member/Ordinary Seaman’s Place of Birth (City & Country):
Seafarer/Crew Member/Ordinary Seaman’s Date of Birth:
Seafarer/Crew Member/Ordinary Seaman’s Country of Origin:
Seafarer/Crew Member/Ordinary Seaman’s Passport Number:
Seafarer/Crew Member/Ordinary Seaman’s Passport Expiration Date::
By signing below the above listed Seafarer/Crew Member/Ordinary Seaman acknowledges that
the above information is true and correct.
Seafarer/Crew Member/Ordinary Seaman’s signature:
Date:
CAPACITY in which Seafarer/Crew Member/Ordinary Seaman is to be utilized:
The capacity in which you are utilized is as an Seafarer/Crew Member/Ordinary Seaman (The
lowest ranking personnel in the deck department. An Seafarer/Crew Member/Ordinary Seaman
generally helps out with work that Able Bodied Seamen (ABS) performs as directed by the
Owner/Managing Owner/Captain.
On this vessel VESSEL NAME  a Seafarer/Crew Member/Ordinary Seaman works under the
direction of the Owner/Managing Owner/Captain, completing tasks such as working mooring
lines, operating deck gear, standing anchor details, working cargo, maintenance and repairs. A
Seafarer/Crew Member/Ordinary Seaman also stands a navigational watch, generally as a
lookout or helmsman. Other tasks include but are not limited to; standing lookout, and generally
cleaning duties, as well as bottom cleaning and assisting in maintenance and repairs..
Schedule/Hours of work:
VESSEL NAME  crossing the Ocean requires constant vigilance. The hours of work shall
be limited to a normal day time schedule as needed with the exception of Watches. Watches
shall be conducted on hours shifts around the clock. This schedule is subject to
modification as the situation dictates at the discretion of the Owner/Managing Owner/Captain.
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Location of work/utilization:
Shall be aboard the below listed VESSEL NAME  currently in the_________  Ocean.
Vessel Name:
Operational Endorsements:
Hailing Port:
Certificate of Documentation:
USCG Documentation Number:
Compensation/Wages:
The above listed Seafarer/Crew Member/Ordinary Seaman shall receive as compensation and
or wages the sum of ZERO US DOLLARS & 00/100 ($0.00) per hour, day, week, month or year.
No other currency is valid per this agreement unless mutually agreed upon.
Monetary Contribution towards living expenses:
The above listed Seafarer/Crew Member/Ordinary Seaman agrees to pay Owner/Managing
Owner/Captain the sum of US DOLLARS & 00/100 ($ ) CASH per day, seven days
per week for food and general vessel expenses.
Means of Monetary Contribution Payment:
The above listed Seafarer/Crew Member/Ordinary Seaman agrees to pay the Owner/Managing
Owner/Captain one month’s payment in CASH in advance each and every month that the
Seafarer/Crew Member/Ordinary Seaman is aboard VESSEL NAME . In the event
that the Seafarer/Crew Member/Ordinary Seaman disembarks the vessel prior to using up the
full month’s monetary contribution the Owner/Managing Owner/Captain shall reimburse the
Seafarer/Crew Member/Ordinary Seaman the per day amount remaining.
Duration of employment:
It is the intent of the Owner/Managing Owner/Captain to sail from the
to the
The Seafarer/Crew Member/Ordinary Seaman agrees to the term of this Agreement
commencing from the date of boarding  VESSEL NAME until clearing customs in the
This term of this Agreement may be further extended at the discretion of the Owner/Managing
Owner/Captain. At such time a new Agreement shall be executed.
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Repatriation:
The Seafarer/Crew Member/Ordinary Seaman shall NOT receive any compensation for
Repatriation upon termination of this Agreement or at any other time. Repatriation
compensation by the Owner/Managing Owner/Captain shall be in the amount of: ZERO US
DOLLARS & 00/100 ($0.00) No other currency is valid per this agreement.
The Seafarer/Crew Member/Ordinary Seaman agrees that repatriation is the sole responsibility
of the individual Seafarer/Crew Member/Ordinary Seaman and further agrees to the amount of:
ZERO US DOLLARS & 00/100 ($0.00) to be paid by the Owner/Managing Owner/Captain as
per the above paragraph.
The Seafarer/Crew Member/Ordinary Seaman acknowledges that the proof of sufficient funds
for the duration of their stay in upon entry is solely the responsibility of the
Seafarer/Crew Member/Ordinary Seaman. The Owner/Managing Owner/Captain shall not be
liable for these expenses.
The Seafarer/Crew Member/Ordinary Seaman shall carry a valid exit airline ticket to their
country of origin or a travel bond satisfactory to the Government of
The Seafarer/Crew Member/Ordinary Seaman acknowledges that this is solely the responsibility
of the Seafarer/Crew Member/Ordinary Seaman. The Owner/Managing Owner/Captain shall
not be liable for these expenses.
Additionally Seafarer/Crew Member/Ordinary Seaman acknowledges that upon exiting the S/V
that the Owner/Managing Owner/Captain shall not be liable for any
expenses on shore incurred by the Seafarer/Crew Member/Ordinary Seaman.
Medical/Health benefits:
The Seafarer/Crew Member/Ordinary Seaman shall NOT receive any compensation for
Medical/Health benefits during the duration of this Agreement. Medical/Health benefits
compensation by the Owner/Managing Owner/Captain shall be in the amount of: ZERO US
DOLLARS & 00/100 ($0.00) No other currency is valid per this agreement.
The Seafarer/Crew Member (OS) agrees that Medical/Health benefits are the sole responsibility
of the individual Seafarer/Crew Member (OS) and further agrees to the amount of: ZERO US
DOLLARS & 00/100 ($0.00) to be paid by the Owner/Managing Owner/Captain as per the
above paragraph.
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Death benefits:
The Seafarer/Crew Member/Ordinary Seaman shall NOT receive any compensation for Death
benefits during the duration of this Agreement. Death benefits compensation by the
Owner/Managing Owner/Captain shall be in the amount of: ZERO US DOLLARS & 00/100
($0.00) No other currency is valid per this agreement.
The Seafarer/Crew Member/Ordinary Seaman agrees that Death benefits are the sole
responsibility of the individual Seafarer/Crew Member/Ordinary Seaman and further agrees to
the amount of: ZERO US DOLLARS & 00/100 ($0.00) to be paid by the Owner/Managing
Owner/Captain as per the above paragraph.
Indemnity and Hold Harmless clause:
The Seafarer/Crew Member/Ordinary Seaman shall save, defend, hold harmless and indemnify
the Owner/Co-Owner/Managing Owner/Captain from and against any and all losses, damages,
liabilities, claims, and costs of whatsoever kind and nature for injury to or death of any person
and for loss or damage to any property occurring in connection with or in any way incident to
Seafarer/Crew Member/Ordinary Seaman, its associate’s or agent’s performance or failure to
perform under the Agreement.
The Seafarer/Crew Member/Ordinary Seaman and the Owner/Co-Owner/Managing
Owner/Captain have read and understand the entirety of the above Agreement’s terms and
conditions. Signing below acknowledges this understanding and affirms this Agreement.
Owner/Managing Owner/Captain’s Signature:
Co-Owner’s Signature:
Seafarer/Crew Member/Ordinary Seaman’s Signature:
Place of execution of Agreement:
Date of execution of Agreement:
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